Individual
LORRAINE L WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4037 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2516
(919) 966-4996
(919) 843-5515
Mailing address
1502 W NC HIGHWAY 54, STE 103, DURHAM, NC 27707-5572
(919) 354-0840
(919) 748-4441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AN76390
NC
Other
Enumeration date
07/12/2006
Last updated
04/23/2019
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